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Inspection carried out on We have not revisited the practice as part of this review because the practice was able to demonstrate that they were meeting the regulations associated with the Health and Social Care Act 2008 without the need for a visit.

During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

At our previous comprehensive inspection at Pound House Surgery in Wooburn Green, Buckinghamshire on 28 October 2016 we found a breach of regulations relating to the provision of safe services. The overall rating for the practice was good. Specifically, the practice was rated requires improvement for the provision of safe services and good for the provision of effective, caring, responsive and well-led services. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Pound House Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 4 December 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection in October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

We found the practice had made improvements since our last inspection. Using information provided by the practice we found the practice was now meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well-led services.

Our key findings were as follows:

  • We saw the practice had reviewed existing health and safety arrangements and environmental risks at both the main practice in Wooburn Green and the branch surgery in Bourne End. For example, gas safety checks and electrical installation checks had been undertaken and supporting correspondence recorded.

  • Revised recruitment policies and processes had been adopted which reflected national guidance. For example, supporting recruitment documentation (Disclosure and Baring Service checks) that was pending during the October 2016 inspection was now all recorded and documented correctly. The practice had also reviewed and amended the supporting policy which reflected updated guidance. Disclosure and Baring Service checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable.

  • The practice had reviewed and updated the arrangements to record, share and action (where appropriate) medicine and other patient safety alerts. Specifically, practice had subscribed to receive alerts from Medicines and Healthcare Products Regulatory Agency.

  • Further steps had been taken steps to comprehensively track and monitor the security of all prescription stationary. This included a system to log the location of prescription stationary once transferred to the branch surgery.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection carried out on 28 October 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

At our previous comprehensive inspection at Pound House Surgery in Wooburn Green, Buckinghamshire on 28 October 2016 we found a breach of regulations relating to the provision of safe services. The overall rating for the practice was good. Specifically, the practice was rated requires improvement for the provision of safe services and good for the provision of effective, caring, responsive and well-led services. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Pound House Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 4 December 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection in October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

We found the practice had made improvements since our last inspection. Using information provided by the practice we found the practice was now meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well-led services.

Our key findings were as follows:

  • We saw the practice had reviewed existing health and safety arrangements and environmental risks at both the main practice in Wooburn Green and the branch surgery in Bourne End. For example, gas safety checks and electrical installation checks had been undertaken and supporting correspondence recorded.

  • Revised recruitment policies and processes had been adopted which reflected national guidance. For example, supporting recruitment documentation (Disclosure and Baring Service checks) that was pending during the October 2016 inspection was now all recorded and documented correctly. The practice had also reviewed and amended the supporting policy which reflected updated guidance. Disclosure and Baring Service checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable.

  • The practice had reviewed and updated the arrangements to record, share and action (where appropriate) medicine and other patient safety alerts. Specifically, practice had subscribed to receive alerts from Medicines and Healthcare Products Regulatory Agency.

  • Further steps had been taken steps to comprehensively track and monitor the security of all prescription stationary. This included a system to log the location of prescription stationary once transferred to the branch surgery.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

CQC Insight

These reports bring together existing national data from a range of indicators that allow us to identify and monitor changes in the quality of care outside of our inspections. The data within the reports do not constitute a judgement on performance, but inform our inspection teams. Our judgements on quality and safety continue to come only after inspection and we will not make judgements on data alone.